NPIMap

Organization Active NPI

Mass Ave Chiropractic, LLC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1457558140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001412A Issued in IN
Legal business name
MASS AVE CHIROPRACTIC, LLC
Practice address
611 Massachusetts Ave
Indianapolis, IN 46204-1606
Phone
(317) 554-0748
Fax
(317) 554-0749
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Kielur, D. C.NPI 1588861306
Title
D. C.
Phone
(317) 554-0748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001412A IN Primary

Addresses

Primary practice location

611 Massachusetts Ave
Indianapolis, IN 46204-1606

Mailing address

611 Massachusetts Ave
Indianapolis, IN 46204-1606
Phone (317) 554-0748

National Provider Directory

National Provider Directory

Locations

611 Massachusetts Ave
Indianapolis, IN 46204
Phone (317) 554-0748

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457558140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MASSACHUSETTS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041606",
            "telephone_number": "317-554-0748",
            "fax_number": "317-554-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MASSACHUSETTS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041606",
            "telephone_number": "317-554-0748",
            "fax_number": "317-554-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS AVE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIELUR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "D. C.",
        "authorized_official_telephone_number": "317-554-0748",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001412A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.